Tri-City Petct LLC
Clinic/Center, Radiology in Vista, CA. Organization (NPI-2).
NPI number1154580348
StatusActive
Last updated in NPPESJul 24, 2023
Details
- NPI
- 1154580348
- Entity type
- Organization (NPI-2)
- Legal business name
- Tri-City Petct LLC
- Organization subpart
- No
- Enumeration date
- Jun 3, 2008
- Certification date
- Jul 24, 2023
- Last updated
- Jul 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0200X | Clinic/Center, Radiology | – | CA | Yes |
Practice location
902 Sycamore AveVista, CA 92081
Phone 714-688-3384
Mailing address
8300 W Sunrise BlvdPlantation, FL 33322-5406
Authorized official
Laura Kassa
Sr Vice President
9043002777
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.